Prosthetics Gait Deviations

Question 1

In a transfemoral pt, why might you see circumduction

Answer 1

Long prosthesis, locked knee, small or loose socket, inadequate suspension, foot plantar flexion, abduction contracture, poor knee control

Question 2

In a transfemoral pt, why might you see abducted gait

Answer 2

Median wall discomfort, Long prosthesis, lateral wall low or malaligned, tight hip abductors

Question 3

In a transfemoral pt, why might you see vaulting

Answer 3

Prosthesis too long, inadequate suspension, Socket too small, foot too plantar flexed, too little knee flexion

Question 4

In a transfemoral pt, why might you see lateral trunk bending

Answer 4

Lower lateral wall, short prosthesis, high median wall, weak abductors, abductor contracture, hip pain, short amputation limb

Question 5

In a transfemoral pt, why might you see forward flexion

Answer 5

Unstable knee unit, short ambulatory aids, hip flexion contracture

Question 6

In a transfemoral pt, why might you see lumbar lordosis

Answer 6

Insufficient anterior posterior wall support, painful ischial weight-bearing, hip flexion contracture, weak hip extensors or abdominals

Question 7

In a transfemoral pt, why might you see high heel rise

Answer 7

Inadequate knee friction, too little tension in the extension aid

Question 8

In a transfemoral pt, why might you see terminal swing impact

Answer 8

Insufficient knee friction, too much tension and extension aid, patient fears knee buckle, forceful hip flexion

Question 9

In a transfemoral pt, why might you see swing phase whips

Answer 9

Socket is rotated, knee bolt is rotated, foot is maligned

Question 10

In a transfemoral pt, why might you see foot rotation at heel strike

Answer 10

Foot maligned, stiff heel cushion, plantarflexion bumper

Question 11

In a transfemoral pt, why might you see foot slap

Answer 11

Heel cushion or plantar flexion bumper too soft

Question 12

In a transfemoral pt, why might you see uneven step length

Answer 12

Socket discomfort, poor alignment, hip flexion contracture, hip instability

Question 13

In a transtibial pt, why might you see excessive knee flexion

Answer 13

Socket too forward, socket tilted anteriorly, plantar flexion bumper too hard, plantar flexion limited, high heel shoes, knee flexion contracture, weak quads

Question 14

In a transtibial pt, why might you see inadequate knee flexion

Answer 14

Socket too far back, socket tilted posteriorly, plantar flexion bumper or heel cushion too soft, low heel shoes, anterodistal discomfort, weak quads

Question 15

In a transtibial pt, why might you see lateral thrust in midstance

Answer 15

Foot in set too much

Question 16

In a transtibial pt, why might you see medial thrust at midstance

Answer 16

Foot outset too much

Question 17

In a transtibial pt, why might you see drop off/ premature knee flexion

Answer 17

Socket to forward, excessively flexed, dorsiflexion bumper too soft causing increased dorsiflexion, foot keel too short, Knee flexion contracture

Question 18

In a transtibial pt, why might you see delayed knee flexion

Answer 18

Socket too back, lack sufficient flexion, dorsiflexion bumper too stiff causing plantar flexion, keel too long